The Role of the Intrarenal Resistive Index in Kidney Transplantation

The evaluation of renal allografts has progressed little over the past 20 years. The serum creatinine level and glomerular filtration rate (GFR) remain the basis of renal-allograft assessment; other methods, such as protocol-driven biopsies and molecular profiling, are not yet widely used. The intra...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 369; no. 19; pp. 1853 - 1855
Main Authors Radermacher, Jörg, Haller, Hermann
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 07.11.2013
Subjects
Age
Allografts
Creatinine
Female
Glomerular filtration rate
Graft Survival - physiology
Humans
Kidney transplantation
Kidney Transplantation - physiology
Kidney transplants
Kidneys
Male
Mortality
Renal Artery - physiology
Renal function
Transplants & implants
Ultrasound
Vascular Resistance
Veins & arteries
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Summary:The evaluation of renal allografts has progressed little over the past 20 years. The serum creatinine level and glomerular filtration rate (GFR) remain the basis of renal-allograft assessment; other methods, such as protocol-driven biopsies and molecular profiling, are not yet widely used. The intrarenal resistive index is a noninvasive ultrasound-based method to assess vascular resistance and compliance (elasticity) and has been reported to be useful in the assessment of renal-allograft function and the prediction of allograft and patient survival. 1 – 5 It was initially thought that the intrarenal resistive index was solely dependent on vascular resistance. However, renal vascular compliance also . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Editorial-2
ObjectType-Commentary-1
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMe1312281